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Contact Information

MISSION MEDICAL ASSOCIATES, INC.
200 TABERNACLE RD
BLACK MOUNTAIN, NC28711-7733
 Phone: 828-669-6473
 Fax: 828-669-3819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MISSION MEDICAL ASSOCIATES, INC.

NPI # 1023361656
LBN Legal business name MISSION MEDICAL ASSOCIATES, INC.
Authorized official JILL HOGGARD GREEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2012
Last updated 08/14/2013 - About 13 years ago
Identifiers
NC License # 200201376
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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